Pure, Llc

NPI 1245583863 - Specialist - 174400000X

NPI Details
NPI 1245583863
Enumeration Date 10/19/2012
Last Updated 10/19/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name NICOLETTE M NICOLETTE
Position MEMBER/OWNER
Phone (253) 223-3138
Fax
Practice Location
1506 PACIFIC AVE
TACOMA WA, 98402-4202, US
Phone (253) 223-3138
Fax
Business Location
801 N I ST APT 304
TACOMA WA, 98403-2063, US
Phone (253) 223-3138
Fax
Toxanomy
Taxonomy Code 174400000X
License State Washington
License Number MA00013188
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According to our database, Pure, Llc NPI is 1245583863, taxonomy code is 174400000X and license number is MA00013188, license state is located at Washington. Pure, Llc physically located at 1506 Pacific Ave, Tacoma WA, 98402-4202. NPI Number 1033115704 has the healthcare provider type.

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1245583863 NPI number is provided on an as is basis without warranty of any kind. 1245583863 is maintained by the National Plan & Provider Enumeration System. The contents of Pure, Llc are for informational purposes only.